关键词:

髋关节置换术, 生活质量, 居家护理, 互联网+护理服务

Abstract:

Objective　To explore the construction and practical results of the model system based on Internet + nursing service, and to analyze its role in elderly patients after hip replacement at home. Methods　This study was a randomized controlled trial. A total of 60 elderly patients at home who had undergone hip replacement surgery in Guangzhou First People's Hospital from June 2022 to June 2023 were selected as the study subjects, including 35 males and 25 females, with an age of (68.37±5.24) years old. They were divided into a control group and an observation group by the random number table method, 30 cases in each group. The control group adopted routine nursing service, and the observation group constructed and applied the Internet + nursing service model. The Harris hip function score, Barthel index, and complication rate were compared between the two groups. Independent sample t test and χ² test were used. Results　The Harris hip function scores of the observation group 1, 3, and 6 months after intervention were (59.66±5.27), (73.25±2.39), and (87.54±3.78), respectively, the Harris hip function scores of the control group 1, 3, and 6 months after intervention were (53.21±5.18), (64.28±2.18), and (75.67±2.21), respectively, and the Harris hip function scores of the observation group 1, 3, and 6 months after intervention were better than those of the control group (t=4.781, 15.188, and 14.848, all P<0.001). The Barthel indexes of the observation group 1, 3, and 6 months after intervention were (55.46±2.29), (73.66±3.39), and (82.97±3.77), respectively, the Barthel indexes of the control group 1, 3, and 6 months after intervention were (49.21±2.18), (68.61±2.85), and (74.42±3.51), respectively, and the Barthel indexes of the observation group 1, 3, and 6 months after intervention were better than those of the control group (t=10.827, 6.245, and 9.091, all P<0.001). The incidence of complications was 6.67% (2/30) in the observation group and 20.00% (6/30) in the control group, and the incidence of complications in the observation group was relatively low (P<0.05). Conclusion　Internet + nursing service plays an important role in elderly patients after hip replacement at home, which effectively improves their quality of life, with a low incidence of complications and high clinical nursing significance, and is worthy of further study.

Key words:

Hip replacement, Quality of life, Home care, Internet + nursing service